Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries

Background: Postmortem explanted cardiac implantable electronic devices (CIEDs) from developed countries could provide patients unable to afford new devices in low- and middle-income countries (LMIC) a treatment they lack. This study describes the preferences of electrophysiologists and device impla...

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Autores: Lorenzo Ruiz, Iñigo, Gaztañaga Arantzamendi, Larraitz, Marichalar Mendia, Xabier
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad del País Vasco
Repositorio:Addi. Archivo Digital para la Docencia y la Investigación
OAI Identifier:oai:addi.ehu.eus:10810/56957
Acceso en línea:http://hdl.handle.net/10810/56957
Access Level:acceso abierto
Palabra clave:cardiac implantable electronic devices
implantable defibrillators
opinions
pacemakers
perspectives
reuse
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spelling Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countriesLorenzo Ruiz, IñigoGaztañaga Arantzamendi, LarraitzMarichalar Mendia, Xabiercardiac implantable electronic devicesimplantable defibrillatorsopinionspacemakersperspectivesreuseBackground: Postmortem explanted cardiac implantable electronic devices (CIEDs) from developed countries could provide patients unable to afford new devices in low- and middle-income countries (LMIC) a treatment they lack. This study describes the preferences of electrophysiologists and device implanting cardiologists from Spain on the management of explanted CIEDs and opinions and concerns regarding reuse in LMIC. Methods: A nationwide self-administered questionnaire was sent to members of the Spanish Rhythm Association (n = 1110), between December 2020 and January 2021. Results: Forty-two physician responses were obtained (response rate 5%). There was a strong preference to donate explanted devices for reuse in humans (61.9%) or animals (31%). The vast majority of the participants thought device reutilization was safe, ethical, and a reasonable alternative if a new device is not accessible. Moreover, they indicated they would be comfortable asking patients to consider post-mortem donation, and willing to implant post-mortem explanted and resterilized devices if they were unable to obtain new ones. 57.1% of respondents considered it would be beneficial for patients to have a document so they could reflect their wishes regarding device handling after their death. The most mentioned concerns regarding device reuse were malfunction (57.1%) and infection (54.8%). Conclusions: The majority of respondents support reusable CIED donation to LMIC. It would be interesting to study the feasibility of a nationwide device reutilization program.Springer202220222022info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10810/56957reponame:Addi. Archivo Digital para la Docencia y la Investigacióninstname:Universidad del País VascoIngléshttps://link.springer.com/article/10.1007/s10840-022-01304-yinfo:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by/3.0/es© 2022 The Author(s). This article is licensed under a Creative Commons Attribution 4.0 International Licenseoai:addi.ehu.eus:10810/569572026-06-18T09:23:17Z
dc.title.none.fl_str_mv Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
title Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
spellingShingle Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
Lorenzo Ruiz, Iñigo
cardiac implantable electronic devices
implantable defibrillators
opinions
pacemakers
perspectives
reuse
title_short Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
title_full Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
title_fullStr Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
title_full_unstemmed Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
title_sort Spanish Rhythm Association member´s perspectives on cardiac implantable electronic device reuse in low- and middle-income countries
dc.creator.none.fl_str_mv Lorenzo Ruiz, Iñigo
Gaztañaga Arantzamendi, Larraitz
Marichalar Mendia, Xabier
author Lorenzo Ruiz, Iñigo
author_facet Lorenzo Ruiz, Iñigo
Gaztañaga Arantzamendi, Larraitz
Marichalar Mendia, Xabier
author_role author
author2 Gaztañaga Arantzamendi, Larraitz
Marichalar Mendia, Xabier
author2_role author
author
dc.subject.none.fl_str_mv cardiac implantable electronic devices
implantable defibrillators
opinions
pacemakers
perspectives
reuse
topic cardiac implantable electronic devices
implantable defibrillators
opinions
pacemakers
perspectives
reuse
description Background: Postmortem explanted cardiac implantable electronic devices (CIEDs) from developed countries could provide patients unable to afford new devices in low- and middle-income countries (LMIC) a treatment they lack. This study describes the preferences of electrophysiologists and device implanting cardiologists from Spain on the management of explanted CIEDs and opinions and concerns regarding reuse in LMIC. Methods: A nationwide self-administered questionnaire was sent to members of the Spanish Rhythm Association (n = 1110), between December 2020 and January 2021. Results: Forty-two physician responses were obtained (response rate 5%). There was a strong preference to donate explanted devices for reuse in humans (61.9%) or animals (31%). The vast majority of the participants thought device reutilization was safe, ethical, and a reasonable alternative if a new device is not accessible. Moreover, they indicated they would be comfortable asking patients to consider post-mortem donation, and willing to implant post-mortem explanted and resterilized devices if they were unable to obtain new ones. 57.1% of respondents considered it would be beneficial for patients to have a document so they could reflect their wishes regarding device handling after their death. The most mentioned concerns regarding device reuse were malfunction (57.1%) and infection (54.8%). Conclusions: The majority of respondents support reusable CIED donation to LMIC. It would be interesting to study the feasibility of a nationwide device reutilization program.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10810/56957
url http://hdl.handle.net/10810/56957
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://link.springer.com/article/10.1007/s10840-022-01304-y
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/3.0/es
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:Addi. Archivo Digital para la Docencia y la Investigación
instname:Universidad del País Vasco
instname_str Universidad del País Vasco
reponame_str Addi. Archivo Digital para la Docencia y la Investigación
collection Addi. Archivo Digital para la Docencia y la Investigación
repository.name.fl_str_mv
repository.mail.fl_str_mv
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